Request for Customized Professional Learning
Use this form to request face-to-face professional learning or Blueprint Installation assistance from the MI Excel team for your ISD/ESA personnel and/or local school districts.

Note: Due to Title I restrictions, the MI Excel team can only provide professional learning to districts with identified Title I Priority or Focus schools.

Name of organization requesting professional learning: *
Your answer
Contact name: *
Your answer
Contact email: *
Your answer
Contact phone number: *
Your answer
Do you work in or with a Focus or Priority school that receives Title 1 funds? (Includes Central Office employees/ISD & RESA and MDE staff who support these schools) *
Professional learning requested: *
Does your request fall into one of these categories? If not, please briefly describe the needs of your district/region.
Required
How many days of professional learning are you requesting? *
Your answer
Proposed dates *
Please provide a few choices
Your answer
Proposed location *
Please include street address
Your answer
Intended audience *
select as many as apply
Required
Proposed number of attendees *
A detailed list of attendees (name, organization, email addresses) must be provided to Anne Bohl at bohla@calhounisd.org at least one week prior to event.
Intended outcomes of the professional learning event *
Your answer
AV equipment provided by sponsoring organization
AV equipment provided by MI Excel
Proposed timing *
Please indicate time of registration, start, lunch (if applicable) and end of event
Your answer
Materials needed: *
List materials needed including printing and include whether it will be provided by MI Excel or sponsoring organization.
Your answer
Anything else we should know?
Your answer
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